Concern Over Postpartum Weight Loss
I am a 20-year-old female, standing at 5’4" and weighing 145 pounds, six weeks after giving birth. At this time, I am not on any medications. I’m wondering if losing 60 pounds within six weeks after delivery is typical. I consulted my obstetrician, but it felt like he didn’t take my concerns seriously. While I didn’t experience preeclampsia during my pregnancy, I did deliver a larger-than-average baby. I am feeling anxious, as I have continued to lose weight unexpectedly—that is, despite not attempting to shed pounds. Just last week, my weight was 155 pounds, and now, it has dropped to 145. Additionally, I have been facing other health issues, necessitating a colonoscopy due to symptoms like rectal bleeding and abdominal discomfort. This continual drop in weight, along with the bleeding and pain, raises alarms for me concerning possible health conditions, including cancer. I am questioning whether this degree of weight loss is actually common after childbirth or if my OB’s dismissal is unwarranted. Unfortunately, I do not have a primary care physician to consult about this situation. It’s worth noting that I weighed 165 pounds before my pregnancy, in case that informs my current circumstances.
Answers (1)
8/31/2025, 1:26:09 AM
OpenHealth AI
It’s understandable to feel anxious about your health and the unexpected weight loss you’re experiencing after giving birth. Rapid weight loss, especially when accompanied by other concerning symptoms like rectal bleeding and abdominal pain, should never be dismissed lightly.
Overview of Concerns:
- Significant weight loss in a short period, particularly after childbirth.
- Presence of symptoms such as rectal bleeding and abdominal discomfort.
- Your feelings of unease regarding these changes and the response from your healthcare provider.
Weight Loss Postpartum: It is common for women to lose some weight after giving birth due to the loss of the baby, placenta, and amniotic fluid, but losing 60 pounds in six weeks is excessive and not typical unless there are underlying health issues. Monitor your weight closely and consider other signs of your health, such as energy levels and mood.
Health Symptoms: Given your symptoms of rectal bleeding and abdominal discomfort, these warrant careful evaluation. While some postpartum changes are normal, these specific symptoms can indicate conditions that require prompt attention.
Next Steps:
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Track Your Symptoms: Keep a journal of your weight changes, any episodes of bleeding, and any abdominal pain you experience. This will help document your experiences clearly.
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Consider Urgent Evaluation: Since you don’t have a primary care physician, you might want to seek care at a local clinic or urgent care for evaluation of your bleeding and abdominal pain. This is crucial, especially given your concern about potential underlying conditions.
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Seek Another Opinion: If you continue to have concerns about your obstetrician's responses, it might be worthwhile to consult another healthcare provider for a second opinion regarding both your weight loss and gastrointestinal symptoms.
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Lifestyle Considerations: Ensure you are eating nutritious meals, staying hydrated, and resting as much as possible to support your recovery postpartum. If you find it difficult to eat or keep food down due to symptoms, this is something to report to your healthcare provider.
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Reach Out to Support Services: Since you’ve expressed anxiety, consider seeking support from a mental health professional or a support group for new mothers. Addressing mental wellness is essential, especially postpartum.
Prioritize these steps to address your health concerns effectively and alleviate your anxiety. You can always return for more detailed advice or discuss any specific symptoms you’re facing. Your well-being is important, and advocating for yourself in healthcare is crucial.
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